Question

The nurse is making a home visit to a male client who is in the moderate stage of Alzheimer's diseases. The client's wife is exhausted and tells the nurse that the family plans to take turns caring for the client in their home, each keeping him for two weeks at a time. How should the nurse respond?

Answer 1

The nurse should discuss sustainable care options for the Alzheimer's patient considering the health impacts of chronic stress on caregivers. Professional support and respite care might be necessary to prevent caregiver burnout and ensure the well-being of both the patient and the family members.

Step-by-step explanation:

The involvement of family member in caring for someone with a moderate stage of Alzheimer's disease is commendable and can be a source of comfort for the patient. However, it is essential to consider the consequences of chronic stress that can affect the caregivers' health, as evidenced by compromised immune responses in those under chronic stress. For the client's wife, who is already exhausted, the situation may further deteriorate her health.

It is crucial to seek a balance that ensures the health and wellbeing of both the patient and the caregivers. This may involve incorporating professional caregiving support or exploring respite care options to allow family members to rest. Cultural differences in caregiving show various approaches; for example, in Asia, the family often assumes the responsibility, while in Western countries, care may be seen more as a voluntary act influenced by past support or potential future returns.

Ultimately, the care plan should prioritize sustainable care for the Alzheimer's patient while safeguarding the caregivers' health. A discussion regarding support resources, care strategies, and the implications of chronic stress could benefit the family and provide a path forward that maintains the patient's comfort and addresses the caregivers' needs.